Warm-needle acupuncture for limb spasticity post-stroke: a systematic review
Journal Title: TMR Non-Drug Therapy - Year 2020, Vol 3, Issue 3
Abstract
Background: Warm acupuncture, or warm-needle acupuncture, is a traditional external treatment widely used in China for thousands of years. However, the effects of different treatment times on limb spasticity post-stroke have not been evaluated. Methods: We searched PubMed, Embase, the Cochrane Library, the Web of Science, the China National Knowledge Infrastructure, the Chinese Scientific and Journal Database, the Wanfang database, and the Chinese Biomedical Literature Database from inception to May 21st, 2020, to seek information regarding randomized controlled trials studying warm-needle acupuncture for limb spasticity post-stroke. Two authors selected 24 studies fitting the eligibility criteria and developed this systematic review and meta-analysis. Results: Warm-needle acupuncture is shown to be more effective than other treatments used in the control groups (odds ratio (OR) = 3.61, 95% confidence intervals (CI) (2.51, 5.19), P < 0.001). This treatment decreased limb spasticity as assessed with the Modified Ashworth Scale (mean differences (MD) = −0.78, 95% CI (−1.00, −0.56), P < 0.001) and the Clinic Spasticity Index (MD = 1.06, 95% CI (0.51, 1.60), P = 0.0002), improved sensorimotor impairments according to the Fugl-Meyer Assessment (MD = 9.51, 95% CI (6.99, 12.03), P < 0.001), and improved activities of daily living according to the Barthel Index (MD = 9.70, 95% CI (6.27, 13.12), P < 0.001). Subgroup analysis based on the length of the treatment using the Modified Ashworth Scale, Fugl-Meyer Assessment, and Barthel Index showed better outcomes for patients who received more than 20 days of treatments (P < 0.001). Conclusion: Warm-needle acupuncture is an effective treatment for limb spasticity post-stroke. A treatment frequency of more than 20 days appears to have better effectiveness than that of less than 20 days.
Authors and Affiliations
Qiong-Shuai Zhang1 ,Yu Zhang2 ,Guang-Cheng Ji3 ,Jian-Nan Li4 ,Xun Qi5 ,Shan Xu6 ,Jia-Zhen Cao1 ,Xiao-Hong Xu4*, Bai-Lin Song1*
Keywords
Related Articles
- EP ID EP687619
- DOI 10.12032/TMRND20200905016
- Views 126
- Downloads 0
Dodick DW. Migraine. Lancet. 2018;391(10127): 1315–1330.
Background: Cupping therapy is one of integrative medicine modalities which is used by several nations. Its mechanism of action is not well known but there are several theories explained how it can play a rule in the tre...
A patient with typical Wallenberg syndrome: a case report and literature review
Wallenberg syndrome is a special type of medulla oblongata infarction with many and severe clinical dysfunction, which is dorsolateral medullary syndrome. Wallenberg syndrome can have various initial symptoms due to diff...
Progress research on non-drug therapy in cancer-related fatigue
Highlights This article reviews the progress research on non-drug therapy in cancer-related fatigue, including exercise intervention, psychological intervention, sleep intervention, nutrition intervention, bright white...
Impact of diabetes education on patients suffering from type 2 diabetes in Saudi Arabia
Background: Diabetes health education is an integral component of diabetes management. The aim of education is not only to provide knowledge and skills, but also to change patients’ attitude and increase motivation towar...
Research progress of acupuncture treatment on postpartum depression in recent ten years
In recent years, postpartum depression has gained increasing attention around the world due to its high prevalence and severe health consequences. Meanwhile, a considerable number of postpartum depression patients seek h...